Provider Demographics
NPI:1366421208
Name:CAPPS, RICHARD H JR (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:H
Last Name:CAPPS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:793 SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2222
Mailing Address - Country:US
Mailing Address - Phone:470-785-7499
Mailing Address - Fax:470-222-2705
Practice Address - Street 1:793 SAWYER RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2222
Practice Address - Country:US
Practice Address - Phone:470-785-7499
Practice Address - Fax:470-222-2705
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200001084207Q00000X
GA87488207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89131VFMedicaid
NC2002129AMedicare PIN
NCH61380Medicare UPIN